EVERNORTH CARE PROVIDERS - DELAWARE PA
NPI 1578329421
General Practice in Milwaukee, WI
NPI Status: Active since February 27, 2024
Contact Information
342 N WATER ST STE 600
MILWAUKEE, WI
ZIP 53202
Phone: (773) 292-4800
Fax: (312) 564-4059
- Organization
- General Practice
- CLIA Number: 52D2302520
- CLIA Cert. Type: Other - IN HOME PRIMARY CARE
- CLIA Exp. Date: 04-10-2026
About EVERNORTH CARE PROVIDERS - DELAWARE PA
This page provides the complete NPI Profile along with additional information for Evernorth Care Providers - Delaware Pa, a primary care provider established in Milwaukee, Wisconsin operating as a General Practice. The healthcare provider is registered in the NPI registry with number 1578329421 assigned on February 2024. The practitioner's primary taxonomy code is 208D00000X. The provider is registered as an organization and their NPI record was last updated July 2025. Evernorth Care Providers - Delaware Pa operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Jacqueline D Lakes (Senior Paralegal)
- NPI
- 1578329421
- Provider Name
- EVERNORTH CARE PROVIDERS - DELAWARE PA
- Entity Type
- Organization
- Location Address
- 342 N WATER ST STE 600 MILWAUKEE, WI 53202
- Location Phone
- (773) 292-4800
- Location Fax
- (312) 564-4059
- Mailing Address
- 730 COOL SPRINGS BLVD STE 500 FRANKLIN, TN 37067
- Mailing Phone
- (773) 292-4800
- Mailing Fax
- (312) 564-4059
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 02-27-2024
- Last Update Date
- 07-14-2025
- Code Navigator
A primary care provider (PCP) like Evernorth Care Providers - Delaware Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
General Practice
- Taxonomy Code
- 208D00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 52D2302520
- Facility Type
- Other - IN HOME PRIMARY CARE
- Certificate Effective Date
- April 11, 2024
- Certificate Expiration Date
- April 10, 2026
- Laboratory Director
- DR. SHANNON ALSOP
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evernorth Care Providers - Delaware Pa to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 5 | 7 | 8 | 3 | 2 | 9 | 4 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 14 | 8 | 6 | 2 | 18 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 1 + 4 + 8 + 6 + 2 + 1 + 8 + 4 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1578329421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1861920324 | TAYYBAT PERSONAL CARE SERVICES, INC Organization | In Home Supportive Care | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (414) 366-4514 |
| 1073099644 | SYDNEY PIEKNIK BCBA Individual | Behavior Analyst | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (844) 263-1613 |
| 1720612716 | IVORY SCHEELER Individual | Behavior Analyst | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (844) 263-1613 |
| 1053948844 | LOVE AND CARE HOME CARE AGENCY LLC Organization | Home Health | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (414) 736-5209 |
| 1639787542 | AMANDA LONG MS, LPC-IT, NCC Individual | Counselor (Mental Health) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (414) 435-2981 |
| 1790379394 | THE MOMMY CONNECT PRENATAL CARE SERVICES LLC Organization | Case Management | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (414) 323-6399 |
| 1306502240 | BRIANNA SMITH CBRF CERTIFIED Individual | Community Based Residential Treatment Facility, Mental Illness | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (262) 346-3744 |
| 1376069583 | HOMECENTRIC HEALTH CARE LLC Organization | Nursing Care | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (414) 238-4927 |
| 1962288712 | BLUESTONE VBC WI PC Organization | Family Medicine | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1922497908 | BLUESTONE PHYSICIAN SERVICES WISCONSIN SC Organization | Family Medicine | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1265071088 | JEAN M VOLM MSN, APNP Individual | Nurse Practitioner (Family) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1134928526 | WOUNDMD WI SC Organization | Registered Nurse (Wound Care) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (251) 901-3011 |
| 1770096919 | REBECCA S ESSER NP Individual | Nurse Practitioner (Family) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1093102402 | NICOLE E HEMBEL NP Individual | Nurse Practitioner | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1003317835 | MRS. KELLY ELIZABETH TOMASZEWSKI MSN, APNP, NP-C Individual | Nurse Practitioner (Family) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1023613320 | CHELSEY A MAGESKI MSN, APNP, FNP-BC Individual | Nurse Practitioner (Family) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1033523584 | CARRIE FITZSIMMONS NP Individual | Nurse Practitioner (Family) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1205410040 | RANDI L WAGNER APNP Individual | Nurse Practitioner (Family) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1255870283 | LIA Y HERMAN APNP Individual | Nurse Practitioner | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
| 1356083810 | JOLENE C WITTMANN APNP Individual | Nurse Practitioner (Family) | 342 N WATER ST STE 600 MILWAUKEE, WI 53202 (651) 342-1039 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578329421, enumerated in the NPI registry as an "organization" on February 27, 2024
The provider is located at 342 N Water St Ste 600 Milwaukee, Wi 53202 and the phone number is (773) 292-4800
This medical organization specializes in General Practice with taxonomy code 208D00000X
The provider's CLIA number is 52D2302520 for a "other - in home primary care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on February 27, 2024. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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